Organization Active NPI

Lange Eye Care & Assoc.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1821256025
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LANGE EYE CARE & ASSOC.
Practice address
3968 SW Archer Rd # W101
Gainesville, FL 32608-2342
Phone
(352) 376-6622
Fax
(352) 237-0561
NPI assigned
May 26, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamie Lange
Title
Regional Director
Phone
(352) 237-3768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FL Primary

Addresses

Primary practice location

3968 SW Archer Rd # W101
Gainesville, FL 32608-2342

Mailing address

3101 SW College Rd
Ocala, FL 34474-8459
Phone (352) 237-3768

Other identifiers 2

IdentifierTypeStateIssuer
1326320001OtherFLDME
620668901MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Lange Eye Care Assoc PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1821256025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748459",
            "telephone_number": "352-237-3768",
            "fax_number": "352-237-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3968 SW ARCHER RD # W101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082342",
            "telephone_number": "352-376-6622",
            "fax_number": "352-237-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGE EYE CARE & ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "TAMIE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "352-237-3768"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1326320001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620668901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.